NPI Profile for ELIZABETH APOLLO LOOMIS in STAYTON, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1083147334 |
|
| Status | Active | |
| Credentials | APNP | |
| Entity | Individual | |
| Enumeration date | 04/04/2017 | |
| Last updated | 02/13/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ELIZABETH APOLLO LOOMIS
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